FAMILIA DENTAL MADISON WEST LLC
NPI: 1699138297
· MADISON, WI 53719
· 261QD0000X
$1.80M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
29,914 |
$504K |
| 2019 |
18,783 |
$320K |
| 2020 |
18,604 |
$232K |
| 2021 |
22,339 |
$306K |
| 2022 |
11,131 |
$239K |
| 2023 |
8,436 |
$200K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D1110 |
|
7,429 |
6,914 |
$194K |
| D2392 |
|
3,336 |
2,032 |
$180K |
| D0150 |
|
9,440 |
8,673 |
$179K |
| D1351 |
|
9,206 |
1,328 |
$146K |
| D0274 |
|
8,216 |
7,656 |
$135K |
| D1120 |
|
5,705 |
5,352 |
$120K |
| D2391 |
|
2,966 |
1,578 |
$115K |
| D0220 |
|
14,464 |
13,246 |
$107K |
| D1206 |
|
6,708 |
6,030 |
$85K |
| D0120 |
|
5,579 |
5,310 |
$85K |
| D0230 |
|
15,699 |
11,023 |
$83K |
| D1208 |
|
6,422 |
6,230 |
$77K |
| D0140 |
|
3,864 |
3,526 |
$69K |
| D0210 |
|
1,223 |
1,127 |
$54K |
| D7140 |
|
1,321 |
548 |
$53K |
| D0272 |
|
3,388 |
3,171 |
$43K |
| D7210 |
|
391 |
178 |
$28K |
| D4355 |
|
255 |
252 |
$17K |
| D4346 |
|
206 |
181 |
$12K |
| D2393 |
|
173 |
138 |
$12K |
| D0270 |
|
816 |
708 |
$5K |
| D2330 |
|
23 |
12 |
$877.78 |
| D1999 |
|
2,377 |
1,950 |
$0.00 |